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Original Research

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Hemodynamic efficacy of a motor-driven automatic device performing simultaneous sternothoracic cardiopulmonary resuscitation compared to standard cardiopulmonary resuscitation in an animal model of cardiac arrest

  • Kyoung-Chul Cha1
  • Hyung Il Kim2
  • Yoon Suk Lee1
  • Hye Sim Kim3
  • Woo Jin Jung1
  • Young Il Roh1
  • Sung Oh Hwang1

1Department of Emergency Medicine, Yonsei University Wonju College of Medicine, 26426 Wonju, Republic of Korea

2Department of Emergency Medicine, College of Medicine, Dankook University, 31116 Cheonan, Republic of Korea

3Center of Biomedical Data Science, Yonsei University Wonju College of Medicine, 26426 Wonju, Republic of Korea

DOI: 10.22514/sv.2022.021

Submitted: 23 December 2021 Accepted: 15 February 2022

Online publish date: 21 March 2022

*Corresponding Author(s): Sung Oh Hwang E-mail: shwang@yonsei.ac.kr

Abstract

The aim of this study was to investigate hemodynamic effects and resuscitation outcomes of simultaneous sternothoracic cardiopulmonary resuscitation (SST-CPR) with a prototype of a motor-driven automatic device, comparing to manual standard CPR (S-CPR), in an animal model of ventricular fibrillation (VF). 20 male pigs were randomized to receive standard CPR (S-CPR group) or CPR with an automatic SST-CPR device (A-CPR group) after 5 minutes of VF. Five minutes of basic life support CPR was performed, followed by 10 minutes of advanced life support CPR. Hemodynamic variables including systolic blood pressure (SBP), diastolic blood pressure (DBP), coronary perfusion pressure (CPP), and end-tidal carbon dioxide tension (ETCO2), and resuscitation outcomes including rate of restoration of spontaneous circulation (ROSC) and 2-hour survival were compared between two groups. Ten animals among the A-CPR group and 8 animals among the S-CPR group were included in the final analysis. SBP was higher in the A-CPR group than in the S-CPR group during CPR (p = 0.046). The DBP, CPP and ETCO2 were not different between two groups (p = 0.412, 0.585, and 0.243, respectively). ROSC rate was 38% in the S-CPR group and 10% in the A-CPR group (p = 0.275). The 2-hour survival rate was 25% in the S-CPR group and 0% in the A-CPR group (p = 0.183). In a swine model of cardiac arrest, CPR with a prototype of a motor-driven automatic SST-CPR device, compared with standard CPR, produced higher systolic blood pressure, but there was no difference in diastolic pressure, coronary perfusion pressure, ROSC rate and 2-hour survival rate.


Keywords

Cardiac arrest; Cardiopulmonary resuscitation; Life support


Cite and Share

Kyoung-Chul Cha,Hyung Il Kim,Yoon Suk Lee,Hye Sim Kim,Woo Jin Jung,Young Il Roh,Sung Oh Hwang. Hemodynamic efficacy of a motor-driven automatic device performing simultaneous sternothoracic cardiopulmonary resuscitation compared to standard cardiopulmonary resuscitation in an animal model of cardiac arrest. Signa Vitae. 2022.doi:10.22514/sv.2022.021.

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